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Updated: Dec 22, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Time matters greatly in acute stroke care
1Department of Neurology, Mayo Clinic Florida, Jacksonville, Florida, United States. Lin.Michelle@mayo.edu.
Rapid stroke treatment is crucial. Shorter times from stroke onset to groin puncture correlate with improved recanalisation, highlighting the critical importance of swift intervention in stroke care.
Area of Science:
- Neurology
- Emergency Medicine
- Vascular Surgery
Background:
- Stroke is a significant global cause of disability and death.
- The principle 'time is brain' emphasizes the urgency of stroke management.
- Effective stroke care relies on rapid recognition, organized systems, and timely reperfusion therapies.
Purpose of the Study:
- To investigate the relationship between the time from stroke onset to groin puncture and recanalisation outcomes.
- To underscore the critical role of time in achieving successful endovascular thrombectomy (EVT).
Main Methods:
- The study analyzed patient data to assess the time interval from stroke symptom onset to groin puncture.
- Recanalisation rates were evaluated in relation to the pre-procedural time metrics.
Main Results:
- A shorter time from stroke onset to groin puncture was significantly associated with improved recanalisation.
- This finding reinforces the importance of rapid intervention in endovascular stroke treatment.
Conclusions:
- Minimizing delays in stroke care, particularly before endovascular thrombectomy, is essential for better patient outcomes.
- The study reaffirms the critical impact of time on the success of reperfusion therapies in acute stroke.
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